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NU- 545 UNIT 3 STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ 2024/2025 £8.56   Add to cart
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NU- 545 UNIT 3 STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ 2024/2025
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NU- 545 UNIT 3 STUDY GUIDE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ 2024/2025 What age group has the greatest risk of STI's? Why? p. 867 -Younger than 25. -Adolescents engage in risky behaviors and have greater number of sexual partners than older adults. -Incarcerated in...

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  • October 10, 2024
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  • 2024/2025
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NU- 545 UNIT 3 STUDY GUIDE EXAM QUESTIONS AND

ANSWERS WITH COMPLETE SOLUTIONS GRADED A++

2024/2025

What age group has the greatest risk of STI's?

Why?

p. 867


-Younger than 25.

-Adolescents engage in risky behaviors and have greater number of sexual partners than older adults.

-Incarcerated individuals have higher rates of STI d/t risky behavior prior to incarceration.

-Women, uncircumcised men, men who are receptive partner are at higher risk.

-Young women> risk than older women d/t position of susceptible cells on surface of cervix.


Bacterial STI- p. 869


Campylobacter

Calymmatobacterium Granulomatis

Chlamydia Trachomatis


Polymicrobial STI- p. 869


Gardnerella Vaginalis (Bacterial Vaginosis)

Haemophilus Ducreyi (Chancroid)

Mycoplasma (Mycoplasmosis)

Neisseria Gonorrhoeae (Gonorrhea)

,Shigella (Shigellosis)

Treponema pallidum (Syphilis)


Viruses STI- p. 869


Cytomegalovirus

Hep B, C

HSV

HIV

HPV

Molluscum Contagiousum Virus

Zika Virus


Protozoa STI- p. 869


Entamoeba Histolytica (Amebiasis; Amebic dysentery)

Giardia Lamblia (Giardiasis)

Trichomonas Vaginalis (Trichomoniasis)


Ectoparasites STI- p. 869


Pthirus pubis (Pediculosis pubis)

Sarcoptes Scabiei (Scabies)


Fungus STI- p. 869


Candida Albicans (Candidiasis)


How is Gonorrhea transmitted from mother to fetus? p, 870


Infected Cervical and vaginal secretions. New born eyes can be infected and cause blindness if untreated.

,Gonorrhea p. 870


BACTERIAL

Gonorrhea Pathology: Local or systemic.

Manifestations: Uncomplicated-urethral infections in men and urogenital infections in women. Men will

have sudden onset of painful urination or purulent penile discharge or both within a week of infection.

Women's symptoms will manifest within 10days or within 1 to 2 days after the next menstrual period.

Initially asymptomatic, symptoms appear after spread to the upper reproductive tract. Symptoms

include, dysuria, increased vaginal discharge, abnormal menses, dyspareunia, lower abd pain and fever.

Complicated- prostatitis, epididymitis, lymphangitis, and urethral stricture in men and salpingitis, PID,

and bartholinitis in women.

Diagnosis: direct culture is preferred. Physical exam may disclose cervical friability and erythema and

mucopurulent discharge from the cervical os. Abdominal palpation bilateral lower quadrant tenderness

and rebound tenderness.

Treatment: quickly becoming antibiotic resistant. Multidrug therapy is recommended. (Ceftriaxone IM

and azithromycin or doxycycline po)

Complications: PID, sterility and disseminated infection. Transmission to fetus: If passed to the fetus the

infection usually manifests as an eye infection and develops 1-12 days after birth.


Endometrial Polyps p. 774


A benign mass of endometrial tissue. Contains glands, stroma, and blood vessels. Can occur anywhere

within the uterus. Classified as hyperplastic, atrophic (inactive), or functional. Develop between 40-50

years of age but can occur at any age.

Diagnosed by: Transvaginal sonography or hysteroscopy.

Risk Factors: advanced age, obesity, nulliparity, early menarche, late menopause, diabetes, tamoxifen

, use, HTN, estrogenic states.

Malignancy is rare.

Polypectomy performed through hysteroscopy for symptomatic women, risk for malignancy, or

struggling to conceive.


Leiomyomas- commonly called myomas or uterine fibroids p. 775


Benign smooth muscle tumors in the myometrium.

Most common benign tumors of the uterus, 70-80% of women. Most are small asymptomatic and

clinically insignificant. Increases in ages 30-50 but then decreases with menopause. 2-5 x higher in Asian

and black women. Black women develop 10 years sooner than white women.

These tumors account for 30% of all hysterectomies < 40 years of age.

Cause unknown. Size related to estrogen, progesterone, growth factors, angiogenesis, apoptosis.

Tumors in pregnant women increase in size drastically but then decrease in size after pregnancy.

Risk factors: nulliparity, obesity, PCOS, black race, postmenopausal hormone use, HTN.

Mostly occur in multiples in the uterus.

Classified as: subserous, submucous, or intramural (depends on place in uterine wall)

Unlike cancer- these tumors are unable to cause blood vessel proliferation to support their growth.

Clinical manifestations:

Abnormal uterine bleeding & pain. Slow growing.

May contribute to infertility and subfertility.

Suspected when bimanual examination discloses uterine enlargement and irregular nontender nodules.

Pelvic sonogram or MRI confirms dx.

Treatment depends on symptoms

Shrink in response to oral contraceptives but oral contraceptive pills may enhance growth. LNG-IUD

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